ABSTRACT Objective: To analyze the incidence, mortality and disease burden of cardiovascular diseases in China in 1990 and 2019. Methods: The global Burden of Disease database 2019 was used to analyze the cardiovascular incidence, mortality, disability-adjusted life years (DALY), years of life lost (YLL) and years lived with disability (YLD) in China between 1990 and 2019. Cardiovascular risk factor attribution analysis was performed. Results: In 2019, the number of cardiovascular diseases in China was 12.341 million, with the incidence of 867.65/100,000, an increase of 132.82% and 93.75% compared with 1990, respectively. In 2019, 4.5843 million people died, with a mortality rate of 322.30/100,000, up 89.12% and 57.39% respectively from 1990. In 2019, the cardiovascular DALY, YLD and YLL in China were 91,933,100, 10,383,900 person-years and 81,543,300 person-years, respectively. Compared with 1990, it increased by 50.07%, 146.82% and 45.48% respectively. In 2019, the age groups with the highest incidence, mortality and DALY rates were all > 70 age group, which were 4646.78/100,000, 3057.82/100,000 and 52696.68/100,000, respectively. The number of cardiovascular deaths due to metabolic risk, DALY and YLL were the highest in China, with 3,272,924, 6,711,2754 person-years and 5,993,426 person-years, respectively. Conclusion: The burden of cardiovascular diseases in China increased significantly from 1990 to 2019. Active preventive measures should be taken to reduce the burden of cardiovascular diseases. |